| NPI | 1346595188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS L MIZELL Physician 801-314-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: UT 168364-1205) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |